Fletcher Farms Assisted Living, LLC.

“Based on documentation review and interview, after the manager had a reasonable basis, according to Arizona Revised Statutes (A.R.S.) § 46-454, to believe abuse, neglect, or exploitation had occurred on the premises, the manager failed to initiate an investigation and document the information required in Arizona Administrative Code (A.A.C.) R9-10-803(J)(5)(a-d), within five working days. The deficient practice posed a risk to the physical health and safety of residents. Findings include: 1. A review of facility documentation revealed there was no documentation to reflect that an investigation was initiated by the facility regarding R2's allegations. 2. In an interview, E1 reported that Adult Protective Services (APS) conducted an on-site visit on September 9, 2025, regarding allegations of abuse of R2; however, E1 reported that there was no investigation initiated and documented by the facility regarding the allegations.”

“Based on observation, record review, and interview, the manager failed to ensure at least the manager or a caregiver was present at an assisted living home when a resident was present in the assisted living home. The deficient practice posed a risk as no qualified employee was present to meet a resident's needs. Findings include: 1. The facility had a census of nine residents.  2. During the inspection, the Compliance Officer observed E1, E2, and E3 in the facility. However, E1 was observed not to be present in the facility from at least 1:36 pm to 1:57 pm. E2 and E3 were the only employees working in the facility. 3. Review of E1's personnel record revealed E1 was hired as the manager. 4. Review of E2’s personnel record revealed E2 was hired as an assistant caregiver and did not have documentation of completing a caregiver training program approved by the Department or the NCIA Board. Therefore, E2 was not qualified to be left alone with the residents based on the lack of caregiver training.   5. Review of E3’s personnel record revealed E3 was hired as a “Helper/Homecare” and did not have documentation of completing a caregiver training program approved by the Department or the NCIA Board. Therefore, E3 was not qualified to be left alone with the residents based on the lack of caregiver training.   6. In an interview, E1 reported E1 left to go pick up a resident and acknowledged E1 left the facility with no manager or caregiver present in the assisted living home. 7. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure a resident accepted by the assisted living facility submitted documentation signed by a medical practitioner or a registered nurse that stated whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for two of two residents sampled. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. Review of R1's medical record revealed no documentation that stated whether the resident required continuous medical services, continuous or intermittent nursing services, or restraints. Based on R1’s acceptance date, this documentation was required.  2. Review of R2's medical record revealed documentation that stated whether the resident required continuous medical services, continuous or intermittent nursing services, or restraints. However, this document was signed after R2's acceptance date. 3. In an exit interview, the findings were reviewed with E1 and no additional information was provided. 4. This is a repeat deficiency from the inspection conducted on September 19, 2023.”